Influence of perioperative comprehensive nursing on patients undergoing coronary artery bypass grafting
围术期综合护理对冠脉搭桥手术患者的影响

摘要

目的 探究对冠脉搭桥手术患者采用围术期综合护理干预的临床效果和使用价值。方法 选取我院2020.4-2021.4月一年内进行冠脉搭桥手术的患者50例，将其按照随机分组方法分为对照组（25例，使用常规方法护理干预）和观察组（25例，在使用常规护理干预的基础上加以围术期综合护理干预）。对两组患者的护理效果进行对比并分析。结果 治疗前，两组术前的血压、脉搏，术后的临床指征（咳嗽时间、首次下床活动时间、住院时间）并无明显差异。治疗后，观察组术前的血压、脉搏以及术后的临床指征均低于对照组，差异均有统计学意义（P＜0.05）。结论：在冠脉搭桥手术患者护理过程中，采用心理护理能取得较佳的效果，可有效降低其术前的血压及脉搏，减少术中应激，降低术后的临床指征，改善其心理状态，促进其康复，提升其生活质量，有较高的使用价值，值得推广。

Abstract

Objective: To explore the clinical effect and value of perioperative comprehensive nursing intervention for patients undergoing coronary artery bypass grafting.
Methods: 50 patients who underwent coronary artery bypass grafting surgery in our hospital from April 2020 to April 2021 were randomly divided into control group (25 cases, using routine nursing intervention) and observation group (25cases, using perioperative comprehensive nursing intervention on the basis of routine nursing intervention). The nursing effects of the two groups were compared and analyzed.
Results: Before treatment, there was no significant difference between the two groups in preoperative blood pressure, pulse, and postoperative clinical indications (cough time, first time out of bed activity time, hospital stay). After treatment, the preoperative blood pressure, pulse and postoperative clinical indications of the observation group were lower than those of the control group, and the difference was statistically significant (P < 0.05).
Conclusion  : n the nursing process of patients undergoing coronary artery bypass surgery, psychological nursing can achieve better results, which can effectively reduce their preoperative blood pressure and pulse, reduce intraoperative stress, reduce postoperative clinical indications, improve their psychological state, promote their rehabilitation, and improve their quality of life. It has high use value and is worth promoting.